학술논문

Chondroitinase improves anatomical and functional outcomes after primate spinal cord injury
Document Type
article
Source
Nature Neuroscience. 22(8)
Subject
Biomedical and Clinical Sciences
Neurosciences
Regenerative Medicine
Traumatic Head and Spine Injury
Rehabilitation
Spinal Cord Injury
Physical Injury - Accidents and Adverse Effects
Neurodegenerative
Neurological
Animals
Axons
Chondroitinases and Chondroitin Lyases
Gray Matter
Hand
Injections
Intralesional
Macaca mulatta
Male
Microglia
Motor Neurons
Psychomotor Performance
Pyramidal Tracts
Recovery of Function
Spinal Cord Injuries
Swine
Synapses
Treatment Outcome
Psychology
Cognitive Sciences
Neurology & Neurosurgery
Biological psychology
Language
Abstract
Inhibitory extracellular matrices form around mature neurons as perineuronal nets containing chondroitin sulfate proteoglycans that limit axonal sprouting after CNS injury. The enzyme chondroitinase (Chase) degrades inhibitory chondroitin sulfate proteoglycans and improves axonal sprouting and functional recovery after spinal cord injury in rodents. We evaluated the effects of Chase in rhesus monkeys that had undergone C7 spinal cord hemisection. Four weeks after hemisection, we administered multiple intraparenchymal Chase injections below the lesion, targeting spinal cord circuits that control hand function. Hand function improved significantly in Chase-treated monkeys relative to vehicle-injected controls. Moreover, Chase significantly increased corticospinal axon growth and the number of synapses formed by corticospinal terminals in gray matter caudal to the lesion. No detrimental effects were detected. This approach appears to merit clinical translation in spinal cord injury.